|
肩峰下撞击综合征的诊疗进展
|
Abstract:
肩峰下撞击综合征(subacromial impingement syndrome, SIS)是导致肩关节疼痛最常见的原因之一。其临床症状与肩关节周围炎、肩关节骨性关节炎、肩关节不稳等疾病类似,故在临床上较难鉴别,且SIS通常伴有肩袖的损伤,若不能及时发现并治疗,会产生逐渐加重并产生慢性的肩袖损伤。随着临床经验的积累和影像学的发展,临床上对于SIS的诊断与治疗也在不断发展创新。本文将对SIS的诊断与治疗进展做一综述,希望能对临床医生及相关研究人员提供一定参考。
Subacromial impingement syndrome (SIS) is one of the most common causes of shoulder pain. Its clinical symptoms are similar to those of shoulder periarthritis, shoulder osteoarthritis, shoulder instability and other diseases, so it is difficult to identify clinically, and SIS is usually accompanied by rotator cuff injury, if not detected and treated in time, there will be progressive and chronic ro-tator cuff injuries. With the accumulation of clinical experience and the development of imaging, the clinical diagnosis and treatment of SIS are also constantly developing and innovating. This article will review the progress of diagnosis and treatment of SIS, hoping to provide some reference for cli-nicians and related researchers.
[1] | Neer II, C.S. (1972) Anterior Acromioplasty for the Chronic Impingement Syndrome in the Shoulder: A Preliminary Report. The Journal of Bone and Joint Surgery, 54, 41-50. https://doi.org/10.2106/00004623-197254010-00003 |
[2] | Nazari, G., Macdermid, J.C., Bryant, D., et al. (2019) The Effectiveness of Surgical vs Conservative Interventions on Pain and Function in Patients with Shoulder Impingement Syndrome. A Systematic Review and Meta-Analysis. PLOS ONE, 14, e0216961. https://doi.org/10.1371/journal.pone.0216961 |
[3] | Michener, L.A., Snyder, A.R. and McClure, P.W. (2013) De-fining Substantial Clinical Benefit for Patient-Rated Outcome Tools for Shoulder Impingement Syndrome. Archives of Physical Medicine and Rehabilitation, 94, 725-730.
https://doi.org/10.1016/j.apmr.2012.11.011 |
[4] | Alizadehkhaiyat, O., Roebuck, M.M., Makki, A.T., et al. (2017) Postural Alterations in Patients with Subacromial Impingement Syndrome. International Journal of Sports Physical Therapy, 12, 1111-1120.
https://doi.org/10.26603/ijspt20171111 |
[5] | Nodehi Moghadam, A., Abdi, K., Shati, M., et al. (2017) The Effec-tiveness of Exercise Therapy on Scapular Position and Motion in Individuals with Scapular Dyskinesis: Systematic Re-view Protocol. JMIR Research Protocols, 6, e240.
https://doi.org/10.2196/resprot.8011 |
[6] | Balke, M., Schmidt, C., Dedy, N., et al. (2013) Correlation of Acromial Morphology with Impingement Syndrome and Rotator Cuff Tears. Acta Orthopaedica, 84, 178-183. https://doi.org/10.3109/17453674.2013.773413 |
[7] | Boyan, N., Ozsahin, E., Kizilkanat, E., et al. (2018) Assess-ment of Scapular Morphometry. International Journal of Morphology, 36, 1305-1309. https://doi.org/10.4067/S0717-95022018000401305 |
[8] | Morelli, K.M., Martin, B.R., Charakla, F.H., et al. (2019) Acromion Morphology and Prevalence of Rotator Cuff Tear: A Systematic Review and Meta-Analysis. Clinical Anatomy, 32, 122-130. https://doi.org/10.1002/ca.23309 |
[9] | Consigliere, P., Haddo, O., Levy, O., et al. (2018) Subacromial Impingement Syndrome: Management Challenges. Orthopedic Research and Reviews, 23, 83-91. https://doi.org/10.2147/ORR.S157864 |
[10] | Garving, C., Jakob, S., Bauer, I., et al. (2017) Impingement Syndrome of the Shoulder. Deutsches ?rzteblatt international, 114, 765-776. https://doi.org/10.3238/arztebl.2017.0765 |
[11] | Nordqvist, J.M., ?berg, B.E., Adolfsson, L.E., Holmgren, T.M., et al. (2021) Heterogeneity among Patients with Subacromial Pain—Variabilities within Clinical Presentation and Its Impact on Daily Life. Physiotherapy, 112, 113-120.
https://doi.org/10.1016/j.physio.2020.10.001 |
[12] | 陈雯, 袁慧书. 肩关节撞击综合征的影像评估[J]. 中华放射学杂志, 2021, 55(1): 91-94.
https://doi.org/10.3760/cma.j.cn112149-20201106-01209 |
[13] | 颜丙峰, 马俊. 磁共振成像在肩关节撞击综合征患者中的诊断效果及价值研究[J]. 山西医药杂志, 2020, 49(20): 2771-2774. https://doi.org/10.3969/j.issn.0253-9926.2020.20.017 |
[14] | Pesquer, L., Borghol, S., Meyer, P., et al. (2018) Mul-timodality Imaging of Subacromial Impingement Syndrome. Skeletal Radiology, 47, 923-937. https://doi.org/10.1007/s00256-018-2875-y |
[15] | 张丽华, 郭龙军, 米立新, 等. 肩峰下撞击综合征MRI评分与肩关节功能的关系[J]. 中国医学影像学杂志, 2019, 27(3): 206-210. https://doi.org/10.3969/j.issn.1005-5185.2019.03.010 |
[16] | 罗平, 林鸿生. 肩周肌群功能训练对肩峰下撞击综合征的疗效观察[J]. 中国康复医学杂志, 2017, 32(5): 546-547.
https://doi.org/10.3969/j.issn.1001-1242.2017.05.010 |
[17] | Tang, L., Chen, K., Ma, Y., et al. (2021) Scapular Sta-bilization Exercise Based on the Type of Scapular Dyskinesis Versus Traditional Rehabilitation Training in the Treatment of Periarthritis of the Shoulder: Study Protocol for a Randomized Controlled Trial. Trials, 22, Article No. 713. https://doi.org/10.1186/s13063-021-05654-2 |
[18] | Panagiotopoulos, A.C. and Crowther, I.M. (2019) Scapular Dyskinesia, the Forgotten Culprit of Shoulder Pain and How to Rehabilitate. SICOT-J, 5, Article No. 29. https://doi.org/10.1051/sicotj/2019029 |
[19] | Bury, J., West, M., Chamorro-Moriana, G., et al. (2016) Effectiveness of Scapula-Focused Approaches in Patients with Rotator Cuff Related Shoulder Pain: A Systematic Review and Me-ta-Analysis. Manual Therapy, 25, 35-42.
https://doi.org/10.1016/j.math.2016.05.337 |
[20] | Saito, H., Harrold, M.E., Cavalheri, V., et al. (2018) Scapular Focused Interventions to Improve Shoulder Pain and Function in Adults with Subacromial Pain: A Systematic Review and Meta-Analysis. Physiotherapy Theory and Practice, 34, 653-670. https://doi.org/10.1080/09593985.2018.1423656 |
[21] | Takeno, K., Glaviano, N.R., Norte, G.E., et al. (2019) Therapeutic Interventions for Scapular Kinematics and Disability in Patients with Subacromial Impingement: A System-atic Review. Journal of Athletic Training, 54, 283-295.
https://doi.org/10.4085/1062-6050-309-17 |
[22] | Hotta, G.H., Santos, A.L., McQuade, K.J., et al. (2018) Scapu-lar-Focused Exercise Treatment Protocol for Shoulder Impingement Symptoms: Three-Dimensional Scapular Kinematics Analysis. Clinical Biomechanics, 51, 76-81.
https://doi.org/10.1016/j.clinbiomech.2017.12.005 |
[23] | Moezy, A., Sepehrifar, S. and Solaymani Dodaran, M. (2014) The Effects of Scapular Stabilization Based Exercise Therapy on Pain, Posture, Flexibility and Shoulder Mobility in Patients with Shoulder Impingement Syndrome: A Controlled Randomized Clinical Trial. Medical Journal of the Is-lamic Republic of Iran, 28, 87. |
[24] | Turgut, E., Duzgun, I. and Baltaci, G. (2017) Effects of Scapular Stabilization Ex-ercise Training on Scapular Kinematics, Disability, and Pain in Subacromial Impingement: A Randomized Controlled Tri-al. Archives of Physical Medicine and Rehabilitation, 98, 1915-1923.E3. https://doi.org/10.1016/j.apmr.2017.05.023 |
[25] | Steuri, R., Sattelmayer, M., Elsig, S., et al. (2017) Effectiveness of Conservative Interventions Including Exercise, Manual Therapy and Medical Management in Adults with Shoulder Impingement: A Systematic Review and Meta- Analysis of RCTs. British Journal of Sports Medicine, 51, 1340-1347. https://doi.org/10.1136/bjsports-2016-096515 |
[26] | Apeldoorn, A.T., Kamper, S.J., Kalter, J., et al. (2017) Rigid Shoulder Taping with Physiotherapy in Patients with Subacromial Pain Syndrome: A Randomized Controlled Trial. Journal of Rehabilitation Medicine, 49, 347-353.
https://doi.org/10.2340/16501977-2214 |
[27] | Nejati, P., Ghahremaninia, A., Naderi, F., et al. (2017) Treatment of Subacromial Impingement Syndrome: Platelet- Rich Plasma or Exercise Therapy? A Randomized Controlled Trial. Or-thopaedic Journal of Sports Medicine, 5, Article ID: 2325967117702366. https://doi.org/10.1177/2325967117702366 |
[28] | Papadonikolakis, A., McKenna, M., Warme, W., et al. (2011) Published Evidence Relevant to the Diagnosis of Impingement Syndrome of the Shoulder. The Journal of Bone and Joint Surgery, 93, 1827-1832.
https://doi.org/10.2106/JBJS.J.01748 |
[29] | L?hdeoja, T., Karjalainen, T., Jokihaara, J., et al. (2020) Subacromial Decompression Surgery for Adults with Shoulder Pain: A Systematic Review with Meta-Analysis. British Journal of Sports Medicine, 54, 665-673.
https://doi.org/10.1136/bjsports-2018-100486 |
[30] | Song, L., Miao, L., Zhang, P., et al. (2016) Does Concomitant Acromioplasty Facilitate Arthroscopic Repair of Full- Thickness Rotator Cuff Tears? A Meta-Analysis with Trial Se-quential Analysis of Randomized Controlled Trials. SpringerPlus, 5, Article No. 685. https://doi.org/10.1186/s40064-016-2311-5 |
[31] | Oh, J.H., Park, M.S. and Rhee, S.M. (2018) Treatment Strategy for Irreparable Rotator Cuff Tears. Clinics in Orthopedic Surgery, 10, 119-134. https://doi.org/10.4055/cios.2018.10.2.119 |
[32] | Lee, L.H. and Desai, A. (2014) Reverse Polarity Shoulder Re-placement: Current Concepts and Review of Literature. World Journal of Orthopaedics, 5, 255-261. https://doi.org/10.5312/wjo.v5.i3.255 |